Hepatobiliary system imaging at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$297.00 with Texas Health Network vs $13,875.30 with Affiliated PPO — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Texas Health Network | MCD | $297.00 | — |
| Texas Athletic Network | Premier | $300.00 | — |
| Texas Childrens Health Plans | STARKIDS | $303.06 | — |
| Amerigroup | MGMCD | $303.06 | — |
| Amerigroup | MCDCHIPBH | $303.06 | — |
| Texas Childrens Health Plans | STAR | $303.06 | — |
| Community Health Choice MCD | CHIP | $321.76 | — |
| Community Health Choice MCD | CHIPPerinatal | $321.76 | — |
| Community Health Choice MCD | STAR | $321.76 | — |
| Community Health Choice MCD | STAR+PLUS | $321.76 | — |
| United | MGMCD | $328.20 | — |
| Molina Healthcare | STAR | $333.37 | — |
| Molina Healthcare | STARKIDS | $333.37 | — |
| Molina Healthcare | CHIP | $333.37 | — |
| Molina Healthcare | STARPLUS | $333.37 | — |
| Aetna Better Health | MGMCD | $347.50 | — |
| Humana | MCD | $378.82 | — |
| Texas Athletic Network | PremierPlus | $500.00 | — |
| BCBS | MyBlueHealth | $537.87 | — |
| BCBS | BAV | $580.66 | — |
| Texas Athletic Network | TexasCustomUC | $600.00 | — |
| United | NarrowNetworkIndivExchange | $716.53 | — |
| United | AllPayerAppendix | $848.52 | — |
| United | SmallGroup | $848.52 | — |
| Superior Health Plan | CHPFC | $925.02 | — |
| Superior Health Plan | STAR | $925.02 | — |
| Superior Health Plan | CHIP | $925.02 | — |
| Superior Health Plan | STARKids | $925.02 | — |
| Superior Health Plan | STARPLUS | $925.02 | — |
| BCBS | HMO | $1,039.07 | — |
| BCBS | EPOSOA | $1,078.80 | — |
| BCBS | PPO | $1,115.48 | — |
| Aetna | QHPExchange | $1,627.98 | — |
| Aetna | NBPPO | $2,163.74 | — |
| Aetna | NBPOS | $2,163.74 | — |
| Aetna | NBHMO | $2,163.74 | — |
| Aetna | COMMPPO | $2,301.70 | — |
| Aetna | COMMPOS | $2,301.70 | — |
| Aetna | COMMHMO | $2,301.70 | — |
| Texas Childrens Health Plans | CHIP | $2,559.22 | — |
| United | OptionsPPO | $2,590.06 | — |
| Aetna | OONPPO | $2,706.39 | — |
| Aetna | OONHMO | $2,706.39 | — |
| Aetna | OONPOS | $2,706.39 | — |
| Aetna | ASAPPO | $2,924.84 | — |
| Aetna | ASAPOS | $2,924.84 | — |
| Aetna | ASAHMO | $2,924.84 | — |
| Texas Workforce Commission | WCOMP | $3,700.08 | — |
| Healthcare Highways | NarrowNetwork | $3,931.34 | — |
| Evry Health | BroadNetwork | $4,208.84 | — |
| Humana | HMO | $4,919.56 | — |
| Humana | PPO | $4,919.56 | — |
| Imagine Health | PPO | $5,395.95 | — |
| BCBS | Traditional | $5,395.95 | — |
| Christus (USFHP) | TRICARE | $6,166.80 | — |
| Curative Administrators | COMM | $6,166.80 | — |
| HealthSmart Preferred Care | ACCEL | $6,629.31 | — |
| United | GlobalAppendix | $6,937.65 | — |
| Fidelis SecureCare of TX | MGMCR | $6,937.65 | — |
| Averde Health | Commercial | $6,937.65 | — |
| Coventry National First Health | COMM | $8,217.26 | — |
| Physicians Cooperative of Texas | WC | $8,479.35 | — |
| Rockport Workers Comp | COMM | $8,479.35 | — |
| Triumph | COMM | $9,250.20 | — |
| National Healthcare Solutions | COMM | $9,250.20 | — |
| SouthWest Medical | WORKERSCOMP | $9,250.20 | — |
| Independent Medical System | COMM | $9,250.20 | — |
| Coastal Comp | COMM | $10,021.05 | — |
| Multiplan | PHCSPrimaryNetwork | $11,562.75 | — |
| Cigna Behavioral Health | COMMBH | $12,333.60 | — |
| HealthSmart Preferred Care | PPO | $12,641.94 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $13,104.45 | — |
| Multiplan | ComplementaryNetwork | $13,104.45 | — |
| Physicians, INC | COMM | $13,104.45 | — |
| Affiliated PPO | COMM | $13,875.30 | — |
Visitor-reported prices
Comments
Hepatobiliary system imaging at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON MEDICAL CENTER | Houston | $9,898.29 | $321.76 – $1,627.98 |
| Baylor St Luke's Medical Center | Houston | $1,521.10 | $303.06 – $4,346.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $1,521.10 | $303.06 – $4,346.00 |
| HCA HOUSTON TOMBALL | HOUSTON | $11,068.37 | $303.06 – $1,627.98 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $1,760.38 | $290.70 – $2,200.48 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $1,754.98 | $361.23 – $2,632.47 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $1,754.98 | $290.70 – $2,193.73 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $1,760.38 | $290.70 – $2,200.48 |